Individual
DR. TARIQ HESHAM BALAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3417 ENSIGN RD NE, OLYMPIA, WA 98506-5064
(360) 493-4600
(360) 493-4603
Mailing address
3417 ENSIGN RD NE, OLYMPIA, WA 98506-5064
(360) 493-4600
(360) 493-4603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A115992
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD60464381
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235364894
—
WA
Enumeration date
05/26/2009
Last updated
03/11/2025
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